摘要
针对我市大医院门急诊量迅速上升、看病住院预约时间过长、社区卫生服务机构工作量不足等现象，我们进行了《大医院看病难、住院难和社区卫生服务中心部分资源闲置成因分析》课题研究。通过调查分析表明，30年来大医院的发展规模总体上与社会经济发展速度相适应；看病难、住院难是由于外来人口增长过快、就医需求快速增长、就医结构发生倒置、医院工作效率不高、受传统就医理念影响、医保政策引导不力、社区卫生服务机构能力不强等因素造成。提出了要调整医保政策，推行社区首诊制和完善双向转诊制度，进一步加强基层医疗机构能力建设；大医院要进一步优化医疗服务流程，努力提高医院工作效率；要研究制订相应优惠政策，积极鼓励和进一步加快民营医疗机构的建设与发展速度等缓解大医院看病难、住院难和使社区卫生服务机构资源得到有效利用的相关对策。
We staged this study in view of the sharp rise in workload for outpatients and emergency services, and long appointment duration of outpatients and hospital admission in large hospitals, as well as unused resources at community healthcare centers at large in the city. Results of the study indicate that the development of large hospitals in the past 30 years is basically in line with the social and economic development in general; difficulties getting medical treatment and admission in large hospitals result mostly from sharp rise in migrant population, fast rise of medical service demand, inverted proportion of medical service demands, low efficiency at hospitals, traditional concept on medical service seeking, poor guidance of medical insurance policy, and incompetence of community healthcare institutions. Based on these findings, it proposed the following countermeasures： Adjust medical insurance policies to advocate the first-treatment in communities and dual-referral practices, aiming at furthering capabilities at grass-root healthcare units; optimize medical service process and efficiency at large hospitals; study and develop preferential policies to encourage and step up the development and speed of private hospitals to ease the aforesaid difficulties, and to fully leverage resources at community healthcare institutions.
出处
《中华医院管理杂志》
北大核心
2010年第1期37-41,共5页
Chinese Journal of Hospital Administration
关键词
看病难住院难
社区医疗服务机构
资源利用
对策
Difficulty of getting medical treatment and admission in hospitals
Community healthcare service institutions
Resources use
Countermeasures
